National Coverage Determinations
The Centers for Medicare and Medicaid Services (CMS) makes changes to the services that are covered by Medicare. These changes are updated via National Coverage Determinations (NCDs), nationwide determinations of whether Medicare will pay for an item or service.
The CMS has recently issued the following NCDs:
Implantable Automatic Defibrillators
Effective Date: 2/15/2018
Implementation Date: 2/26/2019
Next Generation Sequencing
Effective Date: 3/16/2018
Implementation Date: 3/8/2019
Magnetic Resonance Imaging (220.2)
Effective Date: 4/10/2018
Implementation Date: 12/10/2018
Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) (20.35)
Effective Date: 5/25/2017
Implementation Date: 7/2/2018
Hyperbaric Oxygen Therapy (20.29)
Effective Date: 4/03/2017
Implementation Date: 12/18/2017
Smoking and Tobacco-Use Cessation Counseling - RETIRED (210.4)
Effective Date: 9/30/2015
Implementation Date: 9/26/2017
Counseling to Prevent Tobacco Use (210.4.1)
Effective Date: 9/26/2017
Implementation Date: 9/26/2017
Leadless Pacemakers (20.8.4)
Effective Date: 1/18/2017
Implementation Date: 8/29/2017
Percutaneous Image-Guided Lumbar Decompression for Lumbar Spinal Stenosis (150.13)
Effective Date: 12/7/2016
Implementation Date: 6/27/2017
Screening for Hepatitis B Virus (HBV) Infection (210.6)
Effective Date: 9/28/2016
Implementation Date: 1/2/2018
Gender Dysphoria and Gender Reassignment Surgery (140.9)
Effective Date: 8/30/2016
Implementation Date: 4/4/2017
Percutaneous Left Atrial Appendage Closure (LAAC) (20.34)
Effective Date: 2/8/2016
Implementation Date: 10/3/2016
Stem Cell Transplantation Formerly 110.8.1 (110.23)
Effective Date: 1/27/2016
Implementation Date: 10/3/2016
Screening for Cervical Cancer with Human Papillomavirus (HPV) (210.2.1)
Effective Date: 7/9/2015
Implementation Date: 3/7/2016
Screening for the Human Immunodeficiency Virus (HIV) Infection (210.7)
Effective Date: 4/13/2015
Implementation Date: 3/7/2016
To view all NCDs, please visit the following CMS websites: